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ESPEN Guidelines on Enteral Nutrition: Liver disease
1Department Internal Medicine, Staedtisches Klinikum, Dessau, Germany. mathias.plauth@klinikum-dessau.de
Clinical Nutrition (Edinburgh, Scotland)
|May 19, 2006
Summary
Enteral nutrition (EN), including oral nutritional supplements (ONS) and tube feeding (TF), is recommended for liver disease (LD) patients. EN improves nutritional status, liver function, and survival rates in various liver conditions.
Area of Science:
- Hepatology
- Clinical Nutrition
- Gastroenterology
Background:
- Liver disease (LD) frequently leads to undernutrition, impacting patient outcomes.
- Enteral nutrition (EN) via oral nutritional supplements (ONS) and tube feeding (TF) can address insufficient nutrient intake.
- Evidence-based guidelines are crucial for optimizing EN in liver disease management.
Framework:
- Developed by an interdisciplinary expert group.
- Based on comprehensive literature review since 1985.
- Accepted through a consensus conference, ensuring broad agreement.
Implementation:
- ONS are recommended for chronic LD patients with common undernutrition.
- TF improves nutritional status, liver function, and survival in cirrhosis patients.
- Early TF post-liver transplantation reduces complications and costs.
Implications:
- EN, particularly ONS and TF, significantly improves outcomes in liver disease.
- TF is a feasible and effective option for acute liver failure.
- Optimized nutritional support is key to managing liver disease complexities.